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      <h4 class="scenarios"><a href="implementation.html" class="blue">NwHIN 1.0 Portfolio</a> > <a href="scenarios.html" class="blue">Scenarios</a></h4>
      <p>Each scenario below represents an example of how solutions can be implemented using the NwHIN 1.0 Portfolio.</p>
      <h6>Click on a scenario to see the related specifications and implementation guides:
</h6>
      <table width="956" border="0" cellspacing="0" cellpadding="0">
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          <td width="50"><a href="scenario_lri.html"><img src="images/LRI_Direct.png" alt="LRI" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_lri.html" class="red">Delivering Lab Results</a>   
<a href="http://sibrowser.siframework.org/download/categories/Delivering Lab Results" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download1','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download1" /></a></h3>
          A laboratory sends a patient&rsquo;s lab results to the ordering physician via Direct. <a href="scenario_lri.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td><a href="scenario_esmd2.html"><img src="images/esMD_Direct2.png" alt="esMD" /></a></td>
          <td>&nbsp;</td>
          <td><h3><a href="scenario_esmd2.html" class="red">Submitting Immunization Data to Public Health</a> <a href="http://sibrowser.siframework.org/download/categories/Submitting%20Immunization%20Data%20to%20Public%20Health" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download8','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download8" /></a></h3>
            A physician sends a patient&rsquo;s immunization record to the state&rsquo;s immunization information system. <a href="scenario_esmd2.html">Learn More</a></td>
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          <td width="50"><a href="scenario_toc.html"><img src="images/TOC_Direct.png" alt="TOC" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_toc.html" class="red">Transitioning to a New Provider of Care
</a><a href="http://sibrowser.siframework.org/download/categories/Transitioning to a New Provider of Care" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download2','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" name="download2" width="17" height="18" border="0" id="download2" /></a></h3>
          An emergency department physician sends a continuity of care document to a patient&rsquo;s primary care physician via Direct. <a href="scenario_toc.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50"><a href="scenario_phr.html"><img src="images/PHR_Direct.png" alt="TOC" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_phr.html" class="red">Reporting a Cancer Diagnosis to a Public Health Cancer Registry 
</a>   
<a href="http://sibrowser.siframework.org/download/categories/Reporting%20a%20Cancer%20Diagnosis%20to%20a%20Public%20Health%20Cancer%20Registry-Stage%202" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download9','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download9" /></a></h3>
A physician diagnoses a patient with cancer and files and sends a report to a public health cancer registry. <a href="scenario_phr.html">Learn More</a></td>
        </tr>
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          <td width="398" height="10">&nbsp;</td>
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          <td width="50"><a href="scenario_esmd.html"><img src="images/esMD_Direct.png" alt="PD" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_esmd.html" class="red">Submitting Documentation to CMS
</a><a href="http://sibrowser.siframework.org/download/categories/Submitting%20Documentation%20to%20CMS" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download3','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" name="download3" width="17" height="18" border="0" id="download3" /></a></h3>
          A physician&rsquo;s office sends requested medical documentation to CMS. <a href="scenario_esmd.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50"><a href="scenario_phr2.html"><img src="images/PHR_Direct2.png" alt="LRI" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_phr2.html" class="red">Reporting Notifiable Diseases and Conditions to a Public Health Agency</a>   
<a href="http://sibrowser.siframework.org/download/categories/Reporting%20Notifiable%20Diseases%20and%20Conditions%20to%20Public%20Health-Stage%202" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download10','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download10" /></a></h3>
A physician treats a patient with a notifiable disease and files and sends a report to a public health agency. <a href="scenario_phr2.html">Learn More</a></td>
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        </tr>
        <tr>
          <td width="50"><a href="scenario_qh.html"><img src="images/QH_Direct.png" alt="QH" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_qh.html" class="red">Sending a Patient Follow-up Care Instructions
</a><a href="http://sibrowser.siframework.org/download/categories/Sending%20a%20Patient%20Follow-up%20Care%20Instructions" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download4','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" name="download4" width="17" height="18" border="0" id="download4" /></a></h3>
          A physical therapist sends follow-up instructions to a rehabilitation patient via Direct. <a href="scenario_qh.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50"><a href="scenario_toc3.html"><img src="images/TOC_Direct3.png" alt="esMD" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_toc3.html" class="red">Sending a Virtual Consultation Summary to another Physician </a>   
<a href="http://sibrowser.siframework.org/download/categories/Sending%20a%20Virtual%20Consultation%20Summary%20to%20another%20Physician-Stage%202" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download11','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download11" /></a></h3>
          A provider sends video and audio consultation summaries to another provider. <a href="scenario_toc3.html">Learn More</a></td>
        </tr>
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        </tr>
        <tr>
          <td><a href="scenario_qh2.html"><img src="images/QH_Direct2.png" alt="QH" /></a></td>
          <td>&nbsp;</td>
          <td><h3><a href="scenario_qh2.html" class="red">Sending a Patient a Reminder</a> <a href="http://sibrowser.siframework.org/download/categories/Sending a Patient a Reminder" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download5','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download5" /></a></h3>
            A physician sends a reminder for preventive care to a patient via Direct. <a href="scenario_qh2.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50"><a href="scenario_phr3.html"><img src="images/PHR_Direct3.png" alt="esMD" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_phr3.html" class="red">Sending Electronic Syndromic Surveillance Data to a Public Health Agency</a>   
<a href="http://sibrowser.siframework.org/download/categories/Sending%20Electronic%20Syndromic%20Surveillance%20Data%20to%20Public%20Health-Stage%202" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download12','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download12" /></a></h3>
          An emergency department provider sends electronic syndromic surveillance data to a public health agency. <a href="scenario_phr3.html">Learn More</a></td>
        </tr>
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          <td width="50" height="10">&nbsp;</td>
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          <td><a href="scenario_toc2.html"><img src="images/TOC_Direct2.png" alt="TOC" /></a></td>
          <td>&nbsp;</td>
          <td><h3><a href="scenario_toc2.html" class="red">Transferring Records between Providers</a> <a href="http://sibrowser.siframework.org/download/categories/Transferring%20Records%20between%20Providers" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download6','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download6" /></a></h3>
            A physician transfers a patient's medical records to a different provider practice via Direct. <a href="scenario_toc2.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50"><a href="scenario_toc4.html"><img src="images/TOC_Direct4.png" alt="esMD" /></a></td>
          <td width="10">&nbsp;</td>
          <td width="398"><h3><a href="scenario_toc4.html" class="red">Specialist sends DICOM File to another Provider</a>   
<a href="http://sibrowser.siframework.org/download/categories/Specialist%20Sends%20DICOM%20File%20to%20Another%20Provider-Stage%202" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download13','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download13" /></a></h3>
          A surgeon sends a patient&rsquo;s DICOM Chest x-Rays to a specialist via Direct. <a href="scenario_toc4.html">Learn More</a></td>
        </tr>
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          <td width="50" height="10">&nbsp;</td>
          <td width="10" height="10">&nbsp;</td>
          <td width="398" height="10">&nbsp;</td>
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          <td width="50" height="10">&nbsp;</td>
          <td width="10" height="10">&nbsp;</td>
          <td width="398" height="10">&nbsp;</td>
        </tr>
        <tr>
          <td><a href="scenario_lri2.html"><img src="images/LRI_Direct2.png" alt="LRI" /></a></td>
          <td>&nbsp;</td>
          <td><h3><a href="scenario_lri2.html" class="red">Sharing Lab Results with Another Provider</a> <a href="http://sibrowser.siframework.org/download/categories/Sharing%20Lab%20Results%20with%20Another%20Provider" title="Download All" class="download" onmouseout="MM_swapImgRestore()" onmouseover="MM_swapImage('download7','','images/icon_download_down.png',1)"><img src="images/icon_download_up.png" alt="Download All" width="17" height="18" border="0" id="download7" /></a></h3>
            An ordering physician sends a continuity of care document and patient's lab results to a specialist via Direct. <a href="scenario_lri2.html">Learn More</a></td>
          <td width="40">&nbsp;</td>
          <td width="50">&nbsp;</td>
          <td width="10">&nbsp;</td>
          <td width="398">&nbsp;</td>
        </tr>
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